Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $3,159.00 / $4,141.80	Facility		$85.70	$3,159.00	$4,141.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.40 / $699.32 / $2,976.60	Professional		$518.40	$699.32	$2,976.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.48 / $906.48 / $906.48	Facility		$906.48	$906.48	$906.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.39 / $853.56 / $1,209.33	Professional		$515.39	$853.56	$1,209.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $447.61 / $620.20 / $996.85	Facility		$447.61	$620.20	$996.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $621.12 / $986.58 / $1,459.50	Professional		$621.12	$986.58	$1,459.50
United Facility/Professional Professional Modifier Low / Median / High Price $972.89 / $1,200.58 / $1,324.79	Professional		$972.89	$1,200.58	$1,324.79